Vacation Bible School Registration

Please complete and submit a registration form for each child wishing to attend Vacation Bible School.

Required fields are marked with a red asterisk (*).

Child

Name: *

Birth date: *

Grade:

The child's grade in school or kindergarten/preschool.

Allergy / health conditions:

Please inform us of any potentially relevant allergy or health conditions.

Siblings attending VBS:

Names of the child's siblings also attending (please register separately for each child)

Parent(s) / Guardian(s)

Name(s): *

Address: *

Street address, including town/state/zip code

E-mail address:

Please provide your e-mail address. A copy of this form will be sent to you.

Phone number(s): *

Please provide all available contact numbers (home/work/cell).

Home church:

Emergency contact information

Who should be called in an emergency?

Name: *

Relationship: *

Phone number(s): *

Ellington Wesleyan Church